Mohamed Hassanein, DMD, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12458 Issued in NC

Practice address

113 Smith Ave Unit 5
Shallotte, NC 28470-4756

Phone

(980) 296-2473

NPI assigned

Aug 20, 2021

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1811663560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 ARBORETUM DR APT 301",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056296",
            "telephone_number": "330-631-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SMITH AVE UNIT 5",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704756",
            "telephone_number": "980-296-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANEIN",
        "first_name": "MOHAMED",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Crawford Hall, M.D.
• Hankins & Hankins, Inc. (C & R Child Placing Agency)
• Elizabeth Hardy
• Megan Kathleen Hardy, ATC/L
• Stephanie Hardy, OD
• Shellie Antoinette Hatcher
• Kathy Hedrick
• Emily Heffernan, LCAS A
• Cassaundra Houston Hefner, FNP-BC
• Heavan Lee Helms, PHARMD

• General Practice Dentistry in Shallotte, NC
• Providers in Shallotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.